By Gregory Y. H. Lip
Atrial traumatic inflammation is the most common sustained cardiac rhythm ailment which confers major mortality and morbidity from stroke, thromboembolism and center failure. Atrial traumatic inflammation is encountered in a wide selection of scientific settings, together with ischaemic middle disorder, valve illness, high blood pressure, thyroid affliction and submit operatively. there were new and dramatic advancements in atrial traumatic inflammation, in regards to non-pharmacological administration suggestions and antithrombotic treatment. This publication units out a logical method of the sensible and scientific administration of this universal cardiac arrhythmia. Illustrated with 86 ECGs and line drawings, and broadly referenced, it's a certain consultant and resource of data for everybody coping with sufferers with atrial traumatic inflammation, either mostly perform and in hospitals.
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Extra resources for Atrial fibrillation in clinical practice
A previous history of hypertension in patients with AF also merits consideration for anticoagulation, since such patients are at high risk of stroke and thromboembolism (SPAF, 1992a). However, patients with uncontrolled hypertension require control of blood pressure before initiation of anticoagulation, to avoid the risk of cerebral haemorrhage, since there is an association between uncontrolled blood pressure and this adverse effect of warfarin therapy. Coronary artery disease There is a high prevalence of coronary disease in the population, and thus coronary artery disease (CAD) is a common cause of AF.
Valve disease Rheumatic heart disease is now less frequent in developed countries. For example, valve disease was present only in the minority in our general-practice survey (Lip et al, 1997). Nevertheless valve disease is, however, associated with a high prevalence of AF, and worldwide, rheumatic valve disease is still a very important cause of AF. In a study of the predictors for AF in about 1100 patients with rheumatic heart disease, the highest frequency of AF (70%) was found in those with mitral stenosis, mitral regurgitation, and tricuspid regurgitation, whilst AF occurred in 29% with isolated mitral stenosis, 16% with isolated mitral regurgitation, and 52% with both conditions (Diker et al, 1996).
Strategies to reduce the incidence of AF after cardiac surgery should favourably affect surgical outcomes and reduce resource use, and EFFECT OF AF ON MORTALITY, STROKE, AND MEDICAL COSTS • To relieve symptoms of congestive heart failure, hypotension or angina that can be directly attributed to a rapid heart rate. • To improve overall cardiac function. • To improve exercise tolerance. • To reduce the risk of thromboembolism and stroke. 6 Importance of treating atrial fibrillation. thus lower the cost of care.
Atrial fibrillation in clinical practice by Gregory Y. H. Lip